Every finding on record at Torrance Memorial Medical Center

Observed in Record Review. In 1 of 14 patient records reviewed, for active patients, it was noted by the nurse surveyor that for RRNHV#2, the initial bereavement risk assessment had not been completed as part of the comprehensive assessment. Findings were verified by the Hospice Manager.

Observed in Record Review. In 1 of 16 patient records reviewed, it was noted by the nurse surveyor that the comprehensive assessment was not updated by the Interdisciplinary Team (IDT). For RRDC#2, there was not any information documented in the last IDT note prior to discharge for extended prognosis regarding the decision to discharge the patient. Finding was verified by the Hospice Manager.

Observed in Record Review. In 1 of 14 patient records reviewed, for active hospice patients the nurse surveyor noted that goals were not updated upon recertification. For RRNHV#2, the goals that were established at the time of admission remained on the care plan even though teaching had been completed and no change in caregivers had occurred.. For example, teaching related to safety measures and skin breakdown. Additionally the expectation for completion went from certification period to certification period with no short term goals. Findings were reviewed by Hospice Manager.

Observed in Patient Home. In 1 of 4 home visits conducted, for hospice, it was observed by the Nurse Surveyor that the organization did not implement the infection prevention and control activities it had planned per policy. During RRHV#2 the skilled nurse cleaned her equipment with gloves on, and then entered her nursing bag with her dirty gloves on to push Sani wipes back into the canister. Finding was verified by the Hospice Manager who was present on the home visit.